Literature DB >> 19285577

Arrhythmogenic effects of anti-Ro/SSA antibodies on the adult heart: more than expected?

Pietro Enea Lazzerini1, Pier Leopoldo Capecchi, Maurizio Acampa, Enrico Selvi, Francesca Guideri, Stefania Bisogno, Pier Carlo Rossi, Mauro Galeazzi, Franco Laghi Pasini.   

Abstract

The arrhythmogenicity of anti-Ro/SSA antibodies for the foetal heart and their crucial role in the development of congenital heart block is now well established, representing a paradigmatic model of passively acquired autoimmunity. Recently, intriguing data suggest that also the adult heart may represent a possible target of anti-Ro/SSA antibody-mediated autoimmune injury. The prolongation of the QTc interval, possibly resulting from a direct inhibitory interaction between the anti-Ro/SSA antibodies and the potassium current I(Kr) in the heart seems the abnormality more frequently observed in adults with anti-Ro/SSA-positive CTD. Although the possibility that anti-Ro/SSA positivity may be considered a risk factor for arrhythmic sudden death in adults has not been demonstrated as yet, preliminary data suggest a relationship among anti-Ro/SSA antibodies, QTc prolongation, and the prevalence of ventricular arrhythmias, also life threatening, in adult patients.

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Year:  2009        PMID: 19285577     DOI: 10.1016/j.autrev.2009.03.002

Source DB:  PubMed          Journal:  Autoimmun Rev        ISSN: 1568-9972            Impact factor:   9.754


  5 in total

1.  Isolated atrioventricular block of unknown origin in the adult and autoimmunity: diagnostic and therapeutic considerations exemplified by 3 anti-Ro/SSA-associated cases.

Authors:  Pietro Enea Lazzerini; Antonio Brucato; Pier Leopoldo Capecchi; Lucia Baldi; Maria Romana Bacarelli; Claudia Nucci; Valentina Moscadelli; Gabriella Morozzi; Mohamed Boutjdir; Franco Laghi-Pasini
Journal:  HeartRhythm Case Rep       Date:  2015-06-16

Review 2.  Clinical and pathological roles of Ro/SSA autoantibody system.

Authors:  Ryusuke Yoshimi; Atsuhisa Ueda; Keiko Ozato; Yoshiaki Ishigatsubo
Journal:  Clin Dev Immunol       Date:  2012-12-06

3.  Fatal cardiac arrest in an adult patient with euthyroid anti-SSA/Ro-positive connective tissue disease: a case report.

Authors:  Michele Adami; Michele Nardin; Enrico Morello; Claudio Crivellaro; Christian J Wiedermann
Journal:  Int Arch Med       Date:  2009-05-15

4.  Resolution of neonatal hypertrophic cardiomyopathy presumed secondary to acquired maternal ribonucleoprotein and smith autoantibodies.

Authors:  A Shah; A Winrow; R Fulljames; N Naqvi; R A Bansal; A S Bansal
Journal:  AJP Rep       Date:  2013-05-21

Review 5.  The Role of Autoantibodies in Arrhythmogenesis.

Authors:  Jin Li
Journal:  Curr Cardiol Rep       Date:  2020-11-25       Impact factor: 2.931

  5 in total

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